Jamal R, Hoe T S, Ong L C, Afifah I, Khuzaiah R, Doraisamy G
Department of Paediatrics, Hospital Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia.
Malays J Pathol. 1998 Jun;20(1):35-40.
Platelet transfusions are indicated in a wide variety of clinical conditions especially those with thrombocytopenia. However, without proper clinical practice guidelines, inappropriate transfusions are bound to happen. To ascertain the provision of a quality and appropriate practice of platelet transfusions, an audit study was carried out over a period of one month at the Paediatric Institute, Kuala Lumpur Hospital. A prospective audit was performed during that period whilst a retrospective collection of data was carried out for the previous month for comparison. Based on a set of criteria agreed upon by the audit committee, it was found that in 18.5% (22 of 119) of the cases, the indications for platelet transfusions were inappropriate. The audit committee concluded that there is a need for a more detailed clinical practice guideline for local use to reduce or lower the incidence of inappropriate transfusions of platelets.
血小板输注适用于多种临床情况，尤其是血小板减少的情况。然而，没有适当的临床实践指南，不适当的输血必然会发生。为了确定提供高质量和适当的血小板输注实践，在吉隆坡医院儿科研究所进行了为期一个月的审计研究。在此期间进行了前瞻性审计，同时收集了前一个月的数据进行回顾性比较。根据审计委员会商定的一套标准，发现18.5%（119例中的22例）的病例中，血小板输注的指征不适当。审计委员会得出结论，需要制定更详细的本地临床实践指南，以减少或降低不适当血小板输血的发生率。
